Name

Title/Position

College/University or Agency/Firm

Telephone

E-mail

Number of Years of NACA Membership (if applicable)

Year in School (if applicable)

Anticipated Graduation Date (if applicable)

Candidate Bio (limit 100 words). Please tell us a little bit about yourself.

Candidate Statement (limit 100 words)   In addition to the information listed above, please include 4 attachments with the specified information below: Attachment 1: A black and white or color photo (head shot) Attachment 2: Relevant Experience/Bio Educational Background: List College/University, dates attended, degree earned and major Related Work Experience: List Dates/School/Firm, position, chief responsibility Past NACA Activities/Positions/Honors: List Involvement/Honors and which years of involvement. Related Organization Activities/Honors/Positions: List any relevant memberships, student activities, etc. Attachment 3: Questions What skills and/or experiences do you believe you possess that would make you an effective representative? What issues and/or concerns would you want to address?  How would you plan to incorporate diversity into the Association's programs and policies? Please provide a statement of your objectives and goals that you would strive to accomplish in this position (this information will be used for the ballot). Attachment 4: Support Letter                One letter of support from the member agency/firm/company at which      you are employed.